Global: ^IBCNR(366.14

Information

FileMan FileNo	FileMan Filename	Package
366.14	IB NCPDP EVENT LOG	Integrated Billing

This file contains data which are passed into IB NCPDP APIs by outside applications - E CLAIMS MGMT ENGINE and OUTPATIENT PHARMACY (see IA # 4299). Data stored in this file are used for IB ECME EVENT report to provide details about E-Pharmacy claims processing and about communication details between IB and the applications listed above. The data in this file is populated internally by the IB application (data not directly entered by the user). Per VHA Directive 10-93-142, this file definition should not be modified.

Package	Total	FileMan Files
Integrated Billing	5	BILL/CLAIMS(#399)[#366.141(.301), #366.141(7.02)] RATE TYPE(#399.3)[#366.141(7.04)] GROUP INSURANCE PLAN(#355.3)[#366.141(.303), #366.1412(.02)] IB NCPDP NON-BILLABLE REASONS(#366.17)[#366.141(.02)] CLAIMS TRACKING NON-BILLABLE REASONS(#356.8)[#366.141(.307)]
Kernel	2	STATE(#5)[#366.1412(.103)] NEW PERSON(#200)[#366.141(.06), #366.141(.211), #366.141(.31)]
Registration	2	MEDICAL CENTER DIVISION(#40.8)[#366.141(.15)] PATIENT(#2)[#366.141(.03), #366.141(.14)]
E Claims Management Engine	1	BPS PHARMACIES(#9002313.56)[#366.141(.09)]
Outpatient Pharmacy	1	PRESCRIPTION(#52)[#366.141(.201), #366.141(.212)]

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	DATE	0;1	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUN 21, 2006` HELP-PROMPT: `Represents the date when specific ePharmacy billing events occurred for an outpatient claim.` DESCRIPTION: `This date is populated by the IB software That supports the processing of ePharmacy Billing events for outpatient claims.` CROSS-REFERENCE: `366.14^B` `1)= S ^IBCNR(366.14,"B",$E(X,1,30),DA)=""` `2)= K ^IBCNR(366.14,"B",$E(X,1,30),DA)`
1	EVENT	1;0	SET Multiple #366.141	366.141 LAST EDITED: `MAR 16, 2006` DESCRIPTION: `This multiple contains 1 to many records by Event type that can occur on a given date for 1 to many outpatient prescription claims.` TECHNICAL DESCR: `The records in this sub-file are stored by sequence or as they occur in time for a given date. This sub-file is updated when one of the 2 functions, $$RX^IBNCPDP or $$STORES^IBNCPDP are invoked by the calling application` `when processing ePharmacy related billing events.`

DATE

0;1

DATE

************************REQUIRED FIELD************************

INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 21, 2006
HELP-PROMPT: Represents the date when specific ePharmacy billing events occurred for an outpatient claim.
DESCRIPTION:
This date is populated by the IB software That supports the processing of ePharmacy Billing events for outpatient claims.
CROSS-REFERENCE: 366.14^B
1)= S ^IBCNR(366.14,"B",$E(X,1,30),DA)=""
2)= K ^IBCNR(366.14,"B",$E(X,1,30),DA)

EVENT

1;0

SET Multiple #366.141

LAST EDITED: MAR 16, 2006
DESCRIPTION:
This multiple contains 1 to many records by Event type that can occur on a given date for 1 to many outpatient prescription claims.
TECHNICAL DESCR: The records in this sub-file are stored by sequence or as they occur in time for a given date. This sub-file is updated when one of the 2 functions, $$RX^IBNCPDP or $$STORES^IBNCPDP are invoked by the calling application
when processing ePharmacy related billing events.

ICR LINK	Subscribing Package(s)	Fields Referenced	Description
ICR #5711	E Claims Management Engine	FILL NUMBER (.203). Access: Read w/Fileman